CSP Breastfeeding & Infant Feeding Practices

Question 1

According to the American Academy of Pediatrics (AAP), what is the recommended duration for exclusive breastfeeding in healthy term infants?

Accepted Answer

6 months

Answer

The AAP recommends exclusive breastfeeding for approximately 6 months, followed by continued breastfeeding with complementary foods through at least 12 months.

Question 2

Which immunoglobulin is present in the highest concentration in human colostrum, providing passive immunity to the newborn?

Accepted Answer

IgA

Answer

Secretory IgA (sIgA) is the predominant immunoglobulin in colostrum and mature breast milk, protecting the infant's mucosal surfaces against pathogens.

Question 3

At what age should vitamin D supplementation (400 IU/day) be initiated in exclusively breastfed infants?

Accepted Answer

Within a few days of birth

Answer

The AAP recommends that exclusively breastfed infants begin vitamin D supplementation of 400 IU/day within the first few days of life since human milk contains insufficient vitamin D.

Question 4

Iron supplementation (1 mg/kg/day) is recommended for exclusively breastfed full-term infants beginning at what age?

Accepted Answer

4 months

Answer

The AAP recommends starting iron supplementation at 4 months for exclusively breastfed full-term infants to prevent iron deficiency, since breast milk iron alone becomes insufficient around this time.

Question 5

Which component of human milk is primarily responsible for its bifidogenic effect, promoting growth of Bifidobacterium in the infant gut?

Accepted Answer

Human milk oligosaccharides (HMOs)

Answer

Human milk oligosaccharides (HMOs) are prebiotic structures that selectively promote growth of beneficial Bifidobacterium species in the infant intestinal microbiome.

(CSP) Certified Specialist in Pediatric Nutrition Practice Test

(CSP) Certified Specialist in Pediatric Nutrition Practice Test

CSP Breastfeeding & Infant Feeding Practices